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6350
§ 4.88b Schedule of ratings—infectious diseases, immune disorders and nutritional deficiencies.

Systemic lupus erythematosus

An autoimmune disease affecting multiple organs and systems throughout the body.

What the rating means

VA rates systemic lupus erythematosus (SLE) under diagnostic code 6350. The possible ratings are 100%, 60%, and 10%. A 100% rating applies when the disease is in an acute phase with frequent exacerbations that produce severe impairment of health; this rating cannot be combined with a rating under diagnostic code 7809. A 60% rating applies when exacerbations last a week or more and occur two or three times per year. A 10% rating applies when exacerbations occur once or twice a year, or when you have been symptomatic at any point during the past two years.

VA may also rate SLE by separately evaluating each residual disability under the body system it affects — for example, kidney, heart, or skin — and then combining those evaluations. VA is required to use whichever method, direct rating under code 6350 or combining residual ratings, produces the higher evaluation for you.

Evidence that helps

To support a 100% rating, medical records should document frequent acute flares causing severe decline in your overall health, along with physician notes describing the intensity and frequency of those episodes. Rheumatology or specialty clinic notes that describe hospitalization, significant functional loss, or systemic organ involvement during flares are particularly relevant.

For a 60% rating, records should show that flares lasted at least a week at a time and happened two or three times in a year. Dated treatment notes, lab results drawn during active flares, and medication changes tied to specific episodes can all help establish this pattern.

For a 10% rating, records showing at least one flare in the past year or two, or documented symptoms during that period, support this level. If VA rates your residuals separately — such as lupus nephritis or lupus-related skin changes — records from each affected body system become relevant. Your own statements describing how flares affect your ability to work or carry out daily activities can help show frequency and severity at any level.

Secondary conditions

Conditions that are often caused or made worse by this one. If you have any of these, they may be claimable as secondary service connection.